2015-05-07T15:19:27-05:00 2014-12-31 010242373 MACPAGE LLC 30 LONG CREEK DRIVE SOUTH PORTLAND ME 04106 990 2014-01-01 205150062 HEALTHINFONET HEAL 2075419250 125 PRESUMPSCOT STREET BOX 8 PORTLAND ME 04103 DEVORE CULVER CEO 2075419250 2015-05-07 1 PETER MONTANO P01200943 2077745701 2015-04-16 2014 2016-02-25 16:41:14Z 125 PRESUMPSCOT STREET BOX 8 PORTLAND ME 04103 6708892 0 1 X WWW.HINFONET.ORG X 2008 ME TO OVERSEE THE IMPLEMENTATION AND OPERATION OF A STATEWIDE HEALTH INFORMATION TECHNOLOGY NETWORK. 19 19 29 0 0 0 0 41764 6425303 6666193 396 935 0 0 6425699 6708892 0 0 0 0 2157743 2726963 0 0 0 3049899 3818074 5207642 6545037 1218057 163855 3638351 3311187 1370426 879409 2267925 2431778 TO OVERSEE THE IMPLEMENTATION AND OPERATION OF A STATEWIDE HEALTH INFORMATION TECHNOLOGY NETWORK. 0 0 5585602 6666193 CONTINUED TO MOVE TOWARD FULL IMPLEMENTATION OF THE PROJECT AS SCHEDULED. 5585602 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 14 0 1 29 1 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KIM BUSTAMANTE 2075419250 125 PRESUMPSCOT STREET BOX 8 PORTLAND ME 04103 ARTHUR BLANK CHAIRPERSON 1.00 X X 0 0 0 NONA BOYINK PAST CHAIR 1.00 X X 0 0 0 JOSH BRODER DIRECTOR 1.00 X 0 0 0 KARL TURNER DIRECTOR 1.00 X X 0 0 0 MARY MAYHEW DIRECTOR 1.00 X 0 0 0 PETER MILLS TREASURER 1.00 X 0 0 0 RICHARD MARSTON DIRECTOR 1.00 X 0 0 0 RICHARD WHITE VICE CHAIRPERSO 1.00 X X 0 0 0 RODERICK PRIOR DIRECTOR 1.00 X 0 0 0 STEPHEN SEARS DIRECTOR 1.00 X 0 0 0 WILLIAM CARON DIRECTOR 1.00 X 0 0 0 RICHARD FREEMAN DIRECTOR 1.00 X 0 0 0 DAWN GALLAGHER DIRECTOR 1.00 X 0 0 0 JAY YOE DIRECTOR 1.00 X 0 0 0 ANN SULLIVAN SECRETARY 1.00 X 0 0 0 KAREN BELL DIRECTOR 1.00 X 0 0 0 LYNN DUBY DIRECTOR 1.00 X 0 0 0 RAPLH JOHNSON DIRECTOR 1.00 X 0 0 0 DONALD KRAUSE DIRECTOR 1.00 X 0 0 0 DEVORE CULVER CEO 40.00 X 306464 0 28951 PETER PIKE CFO 4.00 X 23546 0 0 SHAUN ALFREDS COO 40.00 X 205188 0 28213 TODD ROGOW CHIEF TECHNOLOGY OFFICER 40.00 X 158862 0 22695 PHILIP PROFENNO ONBOARDING MGR 40.00 X 113032 0 11560 KIM BUSTAMANTE DIRECTOR OF FINANCE AND ADMINISTRATION 40.00 X 107536 0 19600 914628 0 111019 5 0 1 0 SYSTEMS ENGINEERING INC 120 EXCHANGE STREET PORTLAND ME 04101 LICENSING & SUPPORT 534811 ORION HEALTH INC PO BOX 2927 BUFFALO NY 142402927 SOFTWARE 468890 HBI SOLUTIONS INC 530 LYTTON AVENUE SECOND FLOOR PALO ALTO CA 94301 SOFTWARE 189904 CLINICAL ARCHITECTURE LLC 11611 N MERIDIAN STREET CARMEL IN 46032 LICENSE, LABOR, MAPPING 132500 SURESCRIPTS LLC 2800 CRYSTAL DRIVE ARLINGTON VA 22202 MED. HISTORY HOSTING 131086 5 41764 41764 41764 CONTRACTED SERVICES 3094215 3094215 PARTICIPATION REVENUE 2419387 2419387 GRANT REVENUE 1124046 1124046 COMMISSION 28545 28545 6666193 935 935 6708892 6666193 0 935 592361 470438 121923 1659784 1318158 341626 108766 86379 22387 210753 172221 38532 155299 123335 31964 20933 13130 7803 132791 115849 16942 21217 18510 2707 40700 5397 35303 806277 610060 196217 48386 33832 14554 VENDORS 1443518 1443518 SUBCONTRACTS 1036649 1036649 CONTRACTUAL SERVICES 139076 74027 65049 SUPPLIES 73936 20249 53687 54591 43850 10741 6545037 5585602 959435 0 1244295 1549041 464599 367567 215010 245625 1040797 497992 530904 542805 1183543 606149 3638351 3311187 269075 271389 1101351 608020 1370426 879409 X 2267925 2431778 2267925 2431778 3638351 3311187 X 163855 -2 X 1 1 X 1 1 1 X 41764 41764 5291080 6076313 5318880 6425303 6666193 29777769 5291080 6076313 5318880 6425303 6707957 29819533 0 4648808 3562106 2360270 1530923 919779 13021886 4648808 3562106 2360270 1530923 919779 13021886 16797647 1667 983 851 396 935 4832 1667 983 851 396 935 4832 5292747 6077296 5319731 6425699 6708892 29824365 0.56320 0.52990 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1040797 497992 542805 542805 X 6708892 0 6708892 0 6708892 6545037 0 6545037 0 6545037 PART X, LINE 2: MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS. AS A RESULT, THERE WAS NO CUMULATIVE EFFECT AND NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. WHEN NECESSARY, THE ORGANIZATION ACCOUNTS FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AS PART OF ITS PROVISION FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION DOES NOT EXPECT THAT ANY UNRECOGNIZED TAX BENEFITS OR LIABILITIES ARISING FROM TAX POSITIONS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. THE ORGANIZATION IS CURRENTLY OPEN TO AUDIT UNDER THE STATUTE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES FOR THE YEARS ENDING DECEMBER 31, 2011 THROUGH 2014. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING X 1 0 X X X 0 0 0 0 0 0 0 1 0 DEVORE CULVER CEO 290084 0 0 0 16380 0 0 0 28951 0 335415 0 0 0 SHAUN ALFREDS COO 205188 0 0 0 0 0 0 0 28213 0 233401 0 0 0 TODD ROGOW CHIEF TECHNOLOGY OFFICER 158862 0 0 0 0 0 0 0 22695 0 181557 0 0 0 PART I, LINE 1A CEO RECEIVES A HOUSING ALLOWANCE OF $16,380 ANNUALLY; IT IS INCLUDED IN HIS W-2 WAGES BUT IS NOT PART OF HIS BASE SALARY. PART I, LINE 3 THE EXECUTIVE COMMITTEE PERFORMS INDEPENDENT THIRD-PARTY COMPENSATION REVIEWS EVERY THREE YEARS FOR THE OFFICERS. THE EXECUTIVE COMMITTEE DETERMINES AMOUNT OF COMPENSATION AND ANNUAL BONUS FOR THE CEO. THE CEO HAS THE AUTHORITY TO DETERMINE AMOUNT OF COMPENSATION AND ANNUAL BONUS AMOUNTS FOR OTHER OFFICERS BASED UPON GUIDELINES DETERMINED BY THE EXECUTIVE COMMITTEE. BONUSES ARE BASED ON ORGANIZATIONAL AND EMPLOYEE PERFORMANCE. PART I, LINE 7 EMPLOYEES INCLUDING THE CEO ARE ELIGIBLE TO RECEIVE MERIT BONUSES FROM THE ORGANIZATION AT THEIR ANNUAL REVIEWS. THIS IS INCLUDED ON THE W-2S. RICHARD FREEMAN SENIOR VP & CHIEF TRANSFORMATION OFFICER AT EMHS BOD MEMBER 725909 SCHEDULE O - HIN REVENUE 0 NONA BOYINKPRESIDENT HEALTHREACH NETWORK AND MAINEGENERAL REHAB & NURSIN BOD OFFICER 150000 SCHEDULE O - HIN REVENUE 0 WILLIAM CARON PRESIDENT MAINEHEALTH BOD MEMBER 510000 SCHEDULE O - HIN REVENUE 0 ARTHUR BLANK CEO MDI HOSPITAL BOD OFFICER 28500 SCHEDULE O - HIN REVENUE 0 STEPHEN SEARS MARY MAYHEW JAY YOE DIR ME CDC BOD MEMBER 407839 SCHEDULE O - HIN REVENUE 0 WILLIAM CARON PRESIDENT MAINEHEALTH BOD MEMBER 2366 SCHEDULE O - HIN PAYMENT 0 RICHARD FREEMAN SENIOR VP & CHIEF TRANSFORMATION OFFICER AT EMHS BOD MEMBER 50869 SCHEDULE O - HIN PAYMENT 0 DONALD KRAUSE ST JOSEPH HEALTHCARE BOD MEMBER 132386 SCHEDULE O - HIN REVENUE 0 RALPH JOHNSON FRANKLIN MEMORIAL HOSPITAL BOD MEMBER 27917 SCHEDULE O - HIN REVENUE 0 DAWN GALLAGHER OFFICE OF THE STATE COORDINATOR MAINECARE BOD MEMBER 2849842 SCHEDULE O - HIN REVENUE 0 LYNN DUBY CEO CRISIS AND COUNSELING BOD MEMBER 35000 SCHEDULE O - HIN PAYMENTS 0 ARTHUR BLANK MT DESERT ISLAND HOSPITAL BOD MEMBER 20111 SCHEDULE O - HIN PAYMENTS 0 RALPH JOHNSON FRANKLIN MEMORIAL HOSPITAL BOD MEMBER 21294 SCHEDULE O - HIN PAYMENTS 0 X SOFTWARE 7 41764 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 LINE 11A EXPLANATION - THE IRS 990 REPORT IS AN INFORMATIONAL TAX FILING FOR ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX. THESE REPORTS ARE DUE TO THE IRS BY MAY FOLLOWING THE CLOSED FISCAL YEAR. THE INDEPENDENT AUDIT FIRM REQUIRES VARIOUS INTERNAL DOCUMENTS TO COMPLETE THE 990 REPORT INCLUDING INCOME, EXPENSES, GRANT AWARDS, PAYROLL, EQUIPMENT INVENTORY, ETC. THE 990 TAX RETURN IS SUBMITTED TO THE DIRECTOR OF ADMINISTRATION & FINANCE TO REVIEW PRIOR TO SIGNING BY THE CEO. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE 990 PRIOR TO FILING WITH THE IRS. COPIES OF EACH YEAR'S 990 REPORTS ARE MAINTAINED IN ACTIVE FINANCE OFFICE FILES WITH ORIGINALS MAILED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY AND DISCLOSE ANY CONFLICT OF INTEREST ISSUES AT MEETINGS WHEN APPLICABLE. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND/OR COO CONDUCTS AN ANNUAL REVIEW OF KEY EMPLOYEES. SALARIES FOR OFFICERS ARE DETERMINED BY THE BOARD OF DIRECTORS. AN INDEPENDENT COMPENSATION CONTRACTOR HAS BEEN USED TO DETERMINE APPROPRIATE SALARY RANGES. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE EVALUATION OF THE CEO AND DETERMINES COMPENSATION, WHICH IS APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND POLICIES ARE PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING -2. SCHEDULE L, SUPPLEMENTAL INFORMATION HEALTHINFONET RECEIVES REVENUE FROM SEVERAL ENTITIES WHICH HAVE REPRESENTATIVES SERVING ON THE BOARD OF DIRECTORS. IN ADDITION, HEALTHINFONET MAKES PAYMENTS TO SEVERAL OF THESE ENTITIES WHICH PARTICIPATE IN A PROGRAM FUNDED BY A FEDERAL GRANT. PART IV (1) AND (7) RICHARD FREEMAN, MD, SENIOR VP & CHIEF TRANSFORMATION OFFICER OF EASTERN MAINE HEALTHCARE SYSTEMS. EASTERN MAINE HEALTHCARE SYSTEM MADE GRANTS AND PAYMENTS TO HEALTHINFONET TOTALING REVENUE OF $725,909. HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $907 DUE FROM THE EASTERN MAINE HEALTHCARE SYSTEMS AT DEC. 31, 2014. HEALTHINFONET MADE PAYMENTS TOTALING $50,869 TO EASTERN MAINE HEALTHCARE SYSTEMS IN 2014. PART IV (2) NONA BOYINK, MD, PRESIDENT, HEALTHREACH NETWORK AND MAINEGENERAL REHAB & NURSING CARE (MEMBER MAINEGENERAL HEALTH). MAINEGENERAL HEALTH PROVIDED HEALTHINFONET WITH REVENUE TOTALING $150,000 IN 2014. PART IV (3)AND (6) WILLIAM CARON, PRESIDENT, MAINEHEALTH. MAINEHEALTH AND MAINE MEDICAL CENTER PROVIDED REVENUE TOTALING $510,000 AND $25,000 DEFERRED REVENUE TO HEALTHINFONET IN 2014. HEALTHINFONET MADE PAYMENTS TOTALING $2,366 TO MAINEHEALTH AND MAINE MEDICAL CENTER IN 2014. PART IV (4) AND (12) ARTHUR J. BLANK, PRESIDENT & CEO, MT. DESERT ISLAND HOSPITAL. MT. DESERT ISLAND HOSPITAL PROVIDED HEALTHINFONET WITH REVENUE TOTALING $28,500 IN 2014. HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $28,167 DUE FROM MDI HOSPITAL AT DEC. 31, 2014. HEALTHINFONET MADE PAYMENTS TOTALING $20,111 TO MT. DESERT ISLAND HOSPITAL IN 2014. PART IV (5) STEPHEN D. SEARS, MD, STATE EPIDEMIOLOGIST, MAINE CDC, MARY MAYHEW, COMMISSIONER, DEPARTMENT OF HEALTH AND HUMAN SERVICES, JAY YOE, DIRECTOR, MAINECARE, DHHS. THE MAINE CDC MADE GRANTS TO HEALTHINFONET TOTALING $407,839 IN 2014; HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $104,205 DUE FROM THE MAINE CDC AT DEC. 31, 2014. PART IV (8) DONALD KRAUSE, MD, ST. JOSEPH'S HEALTHCARE. ST. JOSEPH'S HEALTHCARE PROVIDED HEALTHINFONET WITH REVENUE TOTALING $132,386 IN 2014 AND $30,000 DEFERRED REVENUE; HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $6,669 DUE FROM ST. JOSEPH'S HEALTHCARE AT DEC. 31, 2014. PART IV (9) AND (13) RALPH JOHNSON, CHIEF INFORMATION OFFICER, FRANKLIN MEMORIAL HOSPITAL. FRANKLIN MEMORIAL HOSPITAL PROVIDED HEALTHINFONET WITH REVENUE TOTALING $27,917 IN 2014 AND $18,750 DEFERRED REVENUE. HEALTHINFONET MADE PAYMENTS TOTALING $21,294 TO FRANKLIN MEMORIAL HOSPITAL IN 2014. PART IV (10) DAWN GALLAGHER, DIRECTOR, OFFICE OF STATE COORDINATOR, MAINECARE. THE OFFICE OF THE STATE COORDINATOR FOR MAINECARE MADE GRANTS TOTALING $2,849,842 IN REVENUE TO HEALTHINFORNET IN 2014 AND $44,817 DEFERRED REVENUE. HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $91,356 DUE FROM MAINECARE AT DEC. 31, 2014. PART IV (11) LYNN DUBY, CEO, CRISIS AND COUNSELING. HEALTHINFONET MADE PAYMENTS TOTALING $35,000 TO CRISIS AND COUNSELING IN 2014.